Advice needed for vaccination billing

As new codes 90460, 90461 replaced 90465~8 starting 1/1/2011, we've got some confusion about the right way to bill immunization in the pediatric office. For instance, to bill immunization for PEDIARIX,Hib,Rota, we have option A or B. Which is right? (our billing system only allows 6 lines for cpt codes).

I did see the recommendations from the American Academy of Pediatrics to bill it out on every line as you indicated in option B, but I could not find any quidelines stating we can not bill with multiple units.

We are going to monitor to make sure we are being reimburse for all admin of injections.

Also keep in mind if the patient is being seen for a WCC, then you can solely us V20.2 and not the individual codes. We are not experiencing any difficulty from our payers when billing in the manner.

Wow, that will make things much easier without the complicity of listing and corresponding all the icd codes for every vaccine! I'll experiment with some of our claims to see if this works with our payers.

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